NPIMap

Organization Active NPI

Phillipsburg SNF Opco LLC

  • Skilled Nursing Facility
  • Philipsburg, PA
National Provider Identifier
1003636069
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PHILLIPSBURG SNF OPCO LLC
Practice address
100 Dogwood Dr
Philipsburg, PA 16866-1982
Phone
(814) 342-8400
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel Mandelbaum, CPA
Title
Cfo
Phone
(718) 570-6018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Dogwood Dr
Philipsburg, PA 16866-1982

Mailing address

180 Sylvan Ave Ste 202
Englewood Cliffs, NJ 07632-2512
Phone (718) 570-6018

Other names 1

  • Heritage Ridge Senior Living at Windy Hill Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251201001273 PA Part A Provider - Skilled Nursing Facility 7911427752 Practice locations: Philipsburg, PA

Skilled nursing facility certification: CCN 395533

Legal name
PHILLIPSBURG SNF OPCO LLC
Doing business as
HERITAGE RIDGE SENIOR LIVING AT WINDY HILL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1982
Last certification
Aug 2, 2024
Beds
90
Ownership / control type
Corporation
Multi-facility organization
Continuum Healthcare
Organization structure
LLCProprietary
Enrollment address
100 Dogwood Dr
Philipsburg, PA 16866-1982
Nursing home name
HERITAGE RIDGE SENIOR LIVING AT WINDY HILL
Affiliated entity
CONTINUUM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Ridge Senior Living at Windy HillCCN 395533
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9087.6 residents per day on average
Chain
Continuum Healthcare13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0185205Heritage Ridge Sr Living at Windy Hill100 Dogwood Drive, Philipsburg, PA 16866Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Networks

  • devoted network organization-ecc039f5-b2a0-481b-9642-4ad88d76e338Plans: DEVOTED CHOICE 001 DE (PPO) (H0413-001-000, H0413); DEVOTED CHOICE GIVEBACK 002 DE (PPO) (H0413-002-000, H0413)

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Bruckstein Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Direct Ownership Interest Nov 1, 2024 100%
Yaacov Brisman Individual Adp of the SNF Nov 1, 2024
Doriann L Lavery Individual Adp of the SNF Dec 1, 2025
Dorncare Holdings LLC Organization, Rock Hill, NY LLC Adp of the SNF Nov 1, 2024
Rudnik Capital LLC Defined Benefit Plan Organization, Clifton, NJ LLC Adp of the SNF Nov 1, 2024
Continuum Healthcare I Inc Organization, Englewood Cliffs, NJ Management services company Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Andrew Tobias 2021 Family Trust Organization, Edison, NJ Adp of the SNF Nov 1, 2024
Benjamin Halberstam Individual Adp of the SNF Nov 1, 2024
Lauren Tobias Individual Adp of the SNF Nov 1, 2024
Phillipsburg SNF Realty LLC Organization, Englewood Cliffs, NJ Adp of the SNF Nov 1, 2024
Amy Anderson Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024
Travis Millinder Individual Operational/Managerial Control Nov 1, 2024
Adp of the SNF Nov 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1003636069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SYLVAN AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322512",
            "telephone_number": "718-570-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOGWOOD DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661982",
            "telephone_number": "814-342-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPSBURG SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-570-6018",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Ridge Senior Living at Windy Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philipsburg, PA

Sources for this page

Verify at the official NPI Registry.